Đolai Matilda, Šunjević Milena, Dražin Ana, Petrović Predrag, Torbica Slobodan, Trivunić Dajko Sandra
University of Novi Sad, Faculty of Medicine, Department of Histology and Embryology, Novi Sad, Serbia.
University Clinical Center of Vojvodina, Department of Pathology and Histology, Novi Sad, Serbia.
Acta Clin Croat. 2024 Oct;63(2):413-417. doi: 10.20471/acc.2024.63.02.18.
Pancreatic heterotopia is a relatively rare condition that implies pancreatic tissue anatomically separated from the main gland, showing no vascular or ductal continuity. It is known to occur in many sites of gastrointestinal tract, with stomach being the most common one. This case is of great interest because ectopic pancreatic tissue in jejunal wall presented as bowel obstruction. The aim of this article is to provide a review of clinical, histopathologic and immunohistochemical features of ectopic pancreatic tissue in jejunum, emphasizing the possible diagnostic pitfalls in gastrointestinal tract, especially in its upper parts. Knowing the most common locations, imaging features and histopathologic criteria, the diagnosis of pancreatic heterotopia could be successfully set preoperatively. Associated complications are various and sometimes difficult to handle, so accurate and precise diagnosis, as well as surgical resection, is often needed.
胰腺异位是一种相对罕见的病症，指胰腺组织在解剖学上与主腺体分离，且无血管或导管连续性。已知其可发生于胃肠道的多个部位，其中胃是最常见的部位。该病例很有意思，因为空肠壁的异位胰腺组织表现为肠梗阻。本文旨在综述空肠异位胰腺组织的临床、组织病理学和免疫组化特征，强调胃肠道尤其是其上部可能存在的诊断陷阱。了解最常见的部位、影像学特征和组织病理学标准，术前即可成功诊断胰腺异位。相关并发症多种多样，有时难以处理，因此往往需要准确精确的诊断以及手术切除。
